HCPCS code Q0091 — Obtaining screen pap smear.
Status: Active.
Effective Jul 1, 1996.
Source: CMS HCPCS Level II.
Q0091
ActiveObtaining screen pap smear
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
Category:
Temporary
Section:
Q-codes: Temporary Codes
Effective:
Jul 1, 1996
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
5731
MUE — Medically Unlikely Edits
Maximum units of Q0091 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 0 |
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with Q0091 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0181 | Modifier may bypass edit |
| G0182 | Modifier may bypass edit |
| G0380 | Modifier may bypass edit |
| G0381 | Modifier may bypass edit |
| G0382 | Modifier may bypass edit |
| G0383 | Modifier may bypass edit |
| G0384 | Modifier may bypass edit |
| G0463 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
NCCI Edits — Reverse Direction
Q0091 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| G0337 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)